科研之友
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摘要
AimThe aim of this study is to report an analysis of the concept of postpartum sexual health. BackgroundPostpartum sexual health is a minimally understood concept, most often framed within physical/biological dimensions or as a checklist' task in postpartum information provision. This has the potential to leave women unprepared to manage transient or normative sexual health changes after childbirth. For meaningful discussions, clarity and understanding of postpartum sexual health is required. DesignA principle-based method of concept analysis. Data sourcesThe databases of PubMed, CINAHL, Maternity and Infant Care, PsychInfo, Web of Science, EMBASE, SCOPUS and Social Science Index were systematically searched, from their earliest dates, using a combination of key terms, including; sexual health', sexual function', dyspareunia', sexuality', sexual desire', sexual dysfunction', postnatal' and postpartum', resulting in a final included dataset of 91 studies. MethodsUsing the principle-based approach, postpartum sexual health was analysed under the four philosophical principles of epistemological, pragmatic, linguistic and logical. ResultsPhilosophically, postpartum sexual health is underdeveloped as a concept. A precise theoretical definition remains elusive and, presently, postpartum sexual health cannot be separated theoretically from sexuality and sexual function. Identified antecedents include an instrument free birth, an intact perineum and avoidance of episiotomy. Attributes include sexual arousal, desire, orgasm, sexual satisfaction and resumption of sexual intercourse. Outcomes are sexual satisfaction and a satisfying intimate relationship with one's partner. ConclusionPostpartum sexual health is conceptually immature with limited applicability in current midwifery practice.
- 出版日期2015-10
